Severe Cutaneous Dry Skin of Endocrine Origin - a Case Report

A xerose cutânea é um motivo frequente de consulta de dermatologia. O seu tratamento passa pela identificação da causa subjacente. Os autores descrevem o caso clínico de um doente do sexo masculino, 49 anos, que recorre a consulta de dermatologia por xerose cutânea severa com início há cerca de 4 meses. Referia também prurido intenso, xerose bucal e cansaço fácil. Dos antecedentes pessoais destacava-se tiroidectomia total há 8 meses, estando apenas medicado com cálcio, sem hormonas tiroideias. À apresentação, o doente tinha voz grave, edema palpebral, macroglossia, xerose cutânea severa generalizada com áreas de eczema craquelé nos membros, hiperqueratose folicular dorsal, hiperlinearidade das linhas das mãos, tonalidade cutânea palmoplantar amarelada e bradicárdia. Analiticamente, registava-se elevação das transaminases, hipercolesterolémia, hipertrigliceridémia, elevação da TSH e diminuição da T3 e T4. Salienta-se este caso pela semiologia rica de uma causa endocrinológica iatrogénica de xerose cutânea severa

Scale insects (Hemiptera: Coccoidea) of ornamental plants from Sao Carlos, Sao Paulo, Brazil

A list of 35 scale insects collected from 72 ornamental plant species in Sao Carlos, Sao Paulo, Brazil is provided. Regarding host specificity, 30 scale insects were polyphagous, 4 oligophagous, and 1 monophagous. A total of 102 coccoid/plant associations are recorded, 29 of which are new host records for the species; 60 are new host records for the species in Brazil. Pulvinaria urbicola Cockerell, 1893 (Coccidae), Phenacoccus similis Granara de Willink, 1983 (Pseudococcidae), and Orthezia molinarii (Morrison, 1952) (Ortheziidae) are recorded for the first time in Brazil. In addition, we describe the injury caused by scale insects on ornamental plants

Leg Ulcers in Antiphospholipid Syndrome Secondary to Systemic Lupus Erythematosus Treated with Intravenous Immunoglobulin

BACKGROUND: Despite encouraging reports on the efficacy of intravenous immunoglobulin (IVIg) in antiphospholipid syndrome, the clinical value of this treatment is not well established, and most of the data are based on case reports and small series of patients. OBSERVATION: We describe the significant improvement of leg ulcers with IVIg in a 61-year-old female, with diabetes mellitus, venous peripherical insufficiency and secondary antiphospholipid syndrome to systemic lupus erythematosus. CONCLUSIONS: This case illustrates a rare cause of leg ulcers and documents that IVIg may be an effective adjuvant treatment in the management of selected patients with antiphospholipid syndrome when conventional strategies using subcutaneous heparin and low-dose aspirin are insufficient

CNO behaviour in planet-harbouring stars. II. Carbon abundances in stars with and without planets using the CH band

Context. Carbon, oxygen and nitrogen (CNO) are key elements in stellar formation and evolution, and their abundances should also have a significant impact on planetary formation and evolution. Aims. We present a detailed spectroscopic analysis of 1110 solar-type stars, 143 of which are known to have planetary companions. We have determined the carbon abundances of these stars and investigate a possible connection between C and the presence of planetary companions. Methods. We used the HARPS spectrograph to obtain high-resolution optical spectra of our targets. Spectral synthesis of the CH band at 4300\AA was performed with the spectral synthesis codes MOOG and FITTING. Results. We have studied carbon in several reliable spectral windows and have obtained abundances and distributions that show that planet host stars are carbon rich when compared to single stars, a signature caused by the known metal-rich nature of stars with planets. We find no different behaviour when separating the stars by the mass of the planetary companion. Conclusions. We conclude that reliable carbon abundances can be derived for solar-type stars from the CH band at 4300\AA. We confirm two different slope trends for [C/Fe] with [Fe/H] because the behaviour is opposite for stars above and below solar values. We observe a flat distribution of the [C/Fe] ratio for all planetary masses, a finding that apparently excludes any clear connection between the [C/Fe] abundance ratio and planetary mass.Comment: 10 pages, 10 figures. Accepted to A&